Healthcare Provider Details

I. General information

NPI: 1841400363
Provider Name (Legal Business Name): MAREK DS ASSOCIATES LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

W1859 COUNTY HIGHWAY B
STONE LAKE WI
54876-8002
US

IV. Provider business mailing address

W1859 COUNTY HIGHWAY B
STONE LAKE WI
54876-8002
US

V. Phone/Fax

Practice location:
  • Phone: 715-865-4910
  • Fax:
Mailing address:
  • Phone: 715-865-4910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number
License Number State

VIII. Authorized Official

Name: DONALD MAREK
Title or Position: PRESIDENT
Credential:
Phone: 715-865-4910